Restorative Dentistry & Endodontics

Research Articles

Comparative analysis of bond strength to root dentin and compression of bioceramic cements used in regenerative endodontic procedures: Maykely Naara Morais Rodrigues, Kely Firmino Bruno, Ana Helena Gonçalves de Alencar, Julyana Dumas Santos Silva, Patrícia Correia de Siqueira, Daniel de Almeida Decurcio, Carlos Estrela; Restor Dent Endod 2021;46(4):e59. Published online November 9, 2021; DOI: https://doi.org/10.5395/rde.2021.46.e59

Objectives

This study compared the Biodentine, MTA Repair HP, and Bio-C Repair bioceramics in terms of bond strength to dentin, failure mode, and compression.

Materials and Methods

Fifty-four slices obtained from the cervical third of 18 single-rooted human mandibular premolars were randomly distributed (n = 18). After insertion of the bioceramic materials, the push-out test was performed. The failure mode was analyzed using stereomicroscopy. Another set of cylindrically-shaped bioceramic samples (n = 10) was prepared for compressive strength testing. The normality of data distribution was analyzed using the Shapiro-Wilk test. The Kruskal-Wallis and Friedman tests were used for the push-out test data, while compressive strength was analyzed with analysis of variance and the Tukey test, considering a significance level of 0.05.

Results

Biodentine presented a higher median bond strength value (14.79 MPa) than MTA Repair HP (8.84 MPa) and Bio-C Repair (3.48 MPa), with a significant difference only between Biodentine and Bio-C Repair. In the Biodentine group, the most frequent failure mode was mixed (61%), while in the MTA Repair HP and Bio-C Repair groups, it was adhesive (94% and 72%, respectively). Biodentine showed greater resistance to compression (29.59 ± 8.47 MPa) than MTA Repair HP (18.68 ± 7.40 MPa) and Bio-C Repair (19.96 ± 3.96 MPa) (p < 0.05).

Conclusions

Biodentine showed greater compressive strength than MTA Repair HP and Bio-C Repair, and greater bond strength than Bio-C Repair. The most frequent failure mode of Biodentine was mixed, while that of MTA Repair HP and Bio-C Repair was adhesive.

Citations

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Comparación de la resistencia compresiva entre el Agregado Trióxido Mineral y BiodentineTM en perforaciones de furca de molares inferiores permanentes
Jheymy Gerardo Huatuco-Granda, John Paul Torres-Navarro, Rosa Josefina Roncal-Espinoza
Revista Facultad de Odontología.2024;[Epub] CrossRef
Effects of different calcium-silicate based materials on fracture resistance of immature permanent teeth with replacement root resorption and osteoclastogenesis
Gabriela Leite de Souza, Gabrielle Alves Nunes Freitas, Maria Tereza Hordones Ribeiro, Nelly Xiomara Alvarado Lemus, Carlos José Soares, Camilla Christian Gomes Moura
Restorative Dentistry & Endodontics.2023;[Epub] CrossRef
Evaluation the Marginal Adaptation for the Bio C Repair and Other Root end Filling Material by Using Scanning Electron Microscope (A Comparative In Vitro Study)
Fatimah HAMADHİ, Zainab M.
Cumhuriyet Dental Journal.2023; 26(3): 261. CrossRef
Dentin Bond Strength of Calcium Silicate-Based Materials: A Systematic Review of In Vitro Studies
Natalia Radulica, José Luis Sanz, Adrián Lozano
Applied Sciences.2023; 14(1): 104. CrossRef
Evaluation Of The Push-out Bond Strength Of The Bio-C Repair And Compare It With The Mineral Trioxide Aggregate And Amalgam When Used As Root-end Filling Material
Fatimah R. Hammadi, Zainab M Abdul-Ameer
Dental Hypotheses.2023; 14(2): 62. CrossRef
Effect of different root canal irrigants on push-out bond strength of two novel root-end filling materials
Nada Omar, Rasha M. Abdelraouf, Tamer M. Hamdy
BMC Oral Health.2023;[Epub] CrossRef
Effect of irrigation systems on the bond strength of calcium-silicate-based cement used as pulp barrier in regenerative endodontic treatment
Cihan Hascizmeci, Burak Buldur
Journal of Adhesion Science and Technology.2023; 37(23): 3393. CrossRef

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Cytotoxicity and physical properties of tricalcium silicate-based endodontic materials: Young-Eun Jang, Bin-Na Lee, Jeong-Tae Koh, Yeong-Joon Park, Nam-Eok Joo, Hoon-Sang Chang, In-Nam Hwang, Won-Mann Oh, Yun-Chan Hwang; Restor Dent Endod 2014;39(2):89-94. Published online March 21, 2014; DOI: https://doi.org/10.5395/rde.2014.39.2.89

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Objectives

The aim of this study was to evaluate the cytotoxicity, setting time and compressive strength of MTA and two novel tricalcium silicate-based endodontic materials, Bioaggregate (BA) and Biodentine (BD).

Materials and Methods

Cytotoxicity was evaluated by using a 2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-5-((phenylamino)carbonyl)-2H-tetrazolium hydroxide (XTT) assay. Measurements of 9 heavy metals (arsenic, cadmium, chromium, copper, iron, lead, manganese, nickel, and zinc) were performed by inductively coupled plasma-mass spectrometry (ICP-MS) of leachates obtained by soaking the materials in distilled water. Setting time and compressive strength tests were performed following ISO requirements.

Results

BA had comparable cell viability to MTA, whereas the cell viability of BD was significantly lower than that of MTA. The ICP-MS analysis revealed that BD released significantly higher amount of 5 heavy metals (arsenic, copper, iron, manganese, and zinc) than MTA and BA. The setting time of BD was significantly shorter than that of MTA and BA, and the compressive strength of BA was significantly lower than that of MTA and BD.

Conclusions

BA and BD were biocompatible, and they did not show any cytotoxic effects on human periodontal ligament fibroblasts. BA showed comparable cytotoxicity to MTA but inferior physical properties. BD had somewhat higher cytotoxicity but superior physical properties than MTA.

Citations

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Evaluation of the physical properties of bromelain-modified biodentine for direct pulp capping
Paridhi Agrawal, Manoj Chandak, Aditya Patel, Jay Bhopatkar
BMC Oral Health.2024;[Epub] CrossRef
Evaluation of bioactivity, biocompatibility, and antibacterial properties of tricalcium silicate bone cement modified with wollastonite/ fluorapatite glass and glass-ceramic
H.K. Abd El-Hamid, A.M. Fayad, R.L. Elwan
Ceramics International.2024; 50(14): 25322. CrossRef
Evaluation of the chemical, physical, and biological properties of a newly developed bioceramic cement derived from cockle shells: an in vitro study
Monthip Wannakajeepiboon, Chankhrit Sathorn, Chatvadee Kornsuthisopon, Busayarat Santiwong, Thanakorn Wasanapiarnpong, Pairoj Linsuwanont
BMC Oral Health.2023;[Epub] CrossRef
Strength of a cement-based dental material: Early age testing and first micromechanical modeling at mature age
Petr Dohnalík, Christian Hellmich, Gilles Richard, Bernhard L. A. Pichler
Frontiers in Bioengineering and Biotechnology.2023;[Epub] CrossRef
Calcium silicate and calcium aluminate cements for dentistry reviewed
Carolyn Primus, James L. Gutmann, Franklin R. Tay, Anna B. Fuks
Journal of the American Ceramic Society.2022; 105(3): 1841. CrossRef
Biomimetic Approaches in Clinical Endodontics
Naresh Kumar, Nazrah Maher, Faiza Amin, Hani Ghabbani, Muhammad Sohail Zafar, Francisco Javier Rodríguez-Lozano, Ricardo E. Oñate-Sánchez
Biomimetics.2022; 7(4): 229. CrossRef
Effect of different manipulations on the physical, chemical and microstructural characteristics of Biodentine
Mariana Domingos Pires, Joana Cordeiro, Isabel Vasconcelos, Mariana Alves, Sérgio André Quaresma, António Ginjeira, Josette Camilleri
Dental Materials.2021; 37(7): e399. CrossRef
Minimal Intervention in Dentistry: A Literature Review on Biodentine as a Bioactive Pulp Capping Material
Naji Ziad Arandi, Mohammad Thabet, Mona Abbassy
BioMed Research International.2021;[Epub] CrossRef
Chitosan-Based Accelerated Portland Cement Promotes Dentinogenic/Osteogenic Differentiation and Mineralization Activity of SHED
Hasan Subhi, Adam Husein, Dasmawati Mohamad, Nik Rozainah Nik Abdul Ghani, Asma-Abdullah Nurul
Polymers.2021; 13(19): 3358. CrossRef
Material Pulp Cells and Tissue Interactions
Nastaran Meschi, Biraj Patel, Nikita B. Ruparel
Journal of Endodontics.2020; 46(9): S150. CrossRef
Biological Effects of Tricalcium Silicate Nanoparticle-Containing Cement on Stem Cells from Human Exfoliated Deciduous Teeth
Yoonsun Jung, Ji-Young Yoon, Kapil Dev Patel, Lan Ma, Hae-Hyoung Lee, Jongbin Kim, Jung-Hwan Lee, Jisun Shin
Nanomaterials.2020; 10(7): 1373. CrossRef
Physicochemical, mechanical and cytotoxicity evaluation of chitosan-based accelerated portland cement
Hasan Subhi, Adam Husein, Dasmawati Mohamad, Asma-Abdullah Nurul
Journal of Materials Research and Technology.2020; 9(5): 11574. CrossRef
Tricalcium silicate cements: osteogenic and angiogenic responses of human bone marrow stem cells
Mohamed R. W. Ali, Manal Mustafa, Asgeir Bårdsen, Athanasia Bletsa
European Journal of Oral Sciences.2019; 127(3): 261. CrossRef
Bioactive tri/dicalcium silicate cements for treatment of pulpal and periapical tissues
Carolyn M. Primus, Franklin R. Tay, Li-na Niu
Acta Biomaterialia.2019; 96: 35. CrossRef
Effect of phytic acid on the setting times and tensile strengths of calcium silicate‐based cements
Ozgur Uyanik, Emre Nagas, Selen Kucukkaya Eren, Zafer C. Cehreli, Pekka K. Vallittu, Lippo V.J. Lassila
Australian Endodontic Journal.2019; 45(2): 241. CrossRef
Effects of four novel root-end filling materials on the viability of periodontal ligament fibroblasts
Makbule Bilge Akbulut, Pembegul Uyar Arpaci, Ayce Unverdi Eldeniz
Restorative Dentistry & Endodontics.2018;[Epub] CrossRef
Biodentine™ material characteristics and clinical applications: a 3 year literature review and update
S. Rajasekharan, L. C. Martens, R. G. E. C. Cauwels, R. P. Anthonappa
European Archives of Paediatric Dentistry.2018; 19(1): 1. CrossRef
Root perforations: a review of diagnosis, prognosis and materials
Carlos Estrela, Daniel de Almeida Decurcio, Giampiero Rossi-Fedele, Julio Almeida Silva, Orlando Aguirre Guedes, Álvaro Henrique Borges
Brazilian Oral Research.2018;[Epub] CrossRef
Effects of chelating agent and acids on Biodentine
V Ballal, JN Marques, CN Campos, CO Lima, RA Simão, M Prado
Australian Dental Journal.2018; 63(2): 170. CrossRef
Biological interactions of a calcium silicate based cement (Biodentine™) with Stem Cells from Human Exfoliated Deciduous teeth
Eirini Athanasiadou, Maria Paschalidou, Anna Theocharidou, Nikolaos Kontoudakis, Konstantinos Arapostathis, Athina Bakopoulou
Dental Materials.2018; 34(12): 1797. CrossRef
Retention of BioAggregate and MTA as coronal plugs after intracanal medication for regenerative endodontic procedures: an ex vivo study
Suzan Abdul Wanees Amin, Shaimaa Ismail Gawdat
Restorative Dentistry & Endodontics.2018;[Epub] CrossRef
Management of Dens Invaginatus Type II Associated with Immature Apex and Large Periradicular Lesion Using Platelet-rich Fibrin and Biodentine
Shruti Goel, Ruchika Roongta Nawal, Sangeeta Talwar
Journal of Endodontics.2017; 43(10): 1750. CrossRef
Brain aluminium accumulation and oxidative stress in the presence of calcium silicate dental cements
K Demirkaya, B Can Demirdöğen, Z Öncel Torun, O Erdem, E Çırak, YM Tunca
Human & Experimental Toxicology.2017; 36(10): 1071. CrossRef
Calcium silicate‐based cements: composition, properties, and clinical applications
Alaa E. Dawood, Peter Parashos, Rebecca H.K. Wong, Eric C. Reynolds, David J. Manton
Journal of Investigative and Clinical Dentistry.2017;[Epub] CrossRef
Biological response of commercially available different tricalcium silicate-based cements and pozzolan cement
Serhat Köseoğlu, Tuğba Pekbağryank, Ebru Kucukyilmaz, Mehmet Sağlam, Sukru Enhos, Ayşe Akgün
Microscopy Research and Technique.2017; 80(9): 994. CrossRef
Modified tricalcium silicate cement formulations with added zirconium oxide
Xin Li, Kumiko Yoshihara, Jan De Munck, Stevan Cokic, Pong Pongprueksa, Eveline Putzeys, Mariano Pedano, Zhi Chen, Kirsten Van Landuyt, Bart Van Meerbeek
Clinical Oral Investigations.2017; 21(3): 895. CrossRef
Cytotoxic effects of mineral trioxide aggregate, calcium enrichedmixture cement, Biodentine and octacalcium pohosphate onhuman gingival fibroblasts
Eshagh A. Saberi, Narges Farhadmollashahi, Faroogh Ghotbi, Hamed Karkeabadi, Roholla Havaei
Journal of Dental Research, Dental Clinics, Dental Prospects.2016; 10(2): 75. CrossRef
The effect of working time on the displacement of Biodentine™ beneath prefabricated stainless steel crown: a laboratory study
Alaa E. Dawood, David J. Manton, Peter Parashos, Rebecca H. K. Wong
Journal of Investigative and Clinical Dentistry.2016; 7(4): 391. CrossRef
Evaluation of reparative dentin formation of ProRoot MTA, Biodentine and BioAggregate using micro-CT and immunohistochemistry
Jia Kim, Young-Sang Song, Kyung-San Min, Sun-Hun Kim, Jeong-Tae Koh, Bin-Na Lee, Hoon-Sang Chang, In-Nam Hwang, Won-Mann Oh, Yun-Chan Hwang
Restorative Dentistry & Endodontics.2016; 41(1): 29. CrossRef

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Evaluation of the effect of blood contamination on the compressive strength of MTA modified with hydration accelerators: Kaveh Oloomi, Eshaghali Saberi, Hadi Mokhtari, Hamid Reza Mokhtari Zonouzi, Ali Nosrat, Mohammad Hossein Nekoofar, Paul Michael Howell Dummer; Restor Dent Endod 2013;38(3):128-133. Published online August 23, 2013; DOI: https://doi.org/10.5395/rde.2013.38.3.128

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Objectives

This study was performed to evaluate the effect of blood contamination on the compressive strength (CS) of Root MTA (RMTA) modified with Calcium chloride (CaCl₂) and Disodium hydrogen phosphate (Na₂HPO₄) as setting accelerators over time.

Materials and Methods

A total of 110 cylindrical specimens of RMTA were divided into 6 experimental groups as follows: Group1, RMTA; Group 2, RMTA modified with CaCl₂ (RMTA-C); Group 3, RMTA modified with Na₂HPO₄ (RMTA-N); Group 4, RMTA contaminated with blood; Group 5, RMTA-C contaminated with blood; Group 6, RMTA-N contaminated with blood. The CS of specimens in all groups was evaluated after 3 hr, 24 hr, and 1 wk. In the modified groups (groups 2, 3, 5, and 6) the CS of five specimens per group was also evaluated after 1 hr.

Results

Blood contamination significantly reduced the CS of all materials at all time intervals (p < 0.05). After 3 hr, the CS of specimens in the RMTA groups (with and without blood contamination) was significantly lower than those in the RMTA-C and RMTA-N groups (p < 0.05). The CS values were not significantly different at the other time intervals. In all groups, the CS of specimens significantly increased over time (p < 0.05).

Conclusions

Blood contamination decreased the CS of both original and accelerated RMTA.

Citations

Citations to this article as recorded by

The effect of three additives on properties of mineral trioxide aggregate cements: a systematic review and meta-analysis of in vitro studies
Behnam Bolhari, Faranak Noori, Hadi Assadian, Amir Raee, Sholeh Ghabraei, Ahmad-Reza Shamshiri, Artak Heboyan
BMC Oral Health.2024;[Epub] CrossRef
Push‐out bond strength of the calcium silicate‐based endodontic cements in the presence of blood: A systematic review and meta‐analysis of in vitro studies
Mahdieh Alipour, Leili Faraji Gavgani, Negin Ghasemi
Clinical and Experimental Dental Research.2022; 8(2): 571. CrossRef
Effect of bioactive glass addition on the physical properties of mineral trioxide aggregate
Jei Kim, Hyun-Jung Kim, Seok Woo Chang, Soram Oh, Sun-Young Kim, Kyoung-Kyu Choi, Duck-Su Kim, Ji-Hyun Jang
Biomaterials Research.2021;[Epub] CrossRef
Effect of the addition of nanoparticles of CaCO3 and different water‐to‐powder ratios on the physicochemical properties of white Portland cement
Cleonice da Silveira Teixeira, Jessica Coelho Wasielewsky, Giovanna Slongo dos Santos, Anarela Bernardi, Eduardo Antunes Bortoluzzi, Lucas da Fonseca Roberti Garcia
Microscopy Research and Technique.2021; 84(4): 592. CrossRef
Assessment of the interaction of Portland cement-based materials with blood and tissue fluids using an animal model
P. Schembri Wismayer, C. Y. K. Lung, F. Rappa, F. Cappello, J. Camilleri
Scientific Reports.2016;[Epub] CrossRef
Effect of the plant-based hemostatic agent Ankaferd Blood Stopper® on the biocompatibility of mineral trioxide aggregate
Muzaffer Emir Dinçol, Hakan Ozbas, Bulent Yılmaz, Handan Ersev, Selcuk Gokyay, Vakur Olgac
BMC Oral Health.2016;[Epub] CrossRef
Surface microhardness of three thicknesses of mineral trioxide aggregate in different setting conditions
Noushin Shokouhinejad, Leila Jafargholizadeh, Mehrfam Khoshkhounejad, Mohammad Hossein Nekoofar, Maryam Raoof
Restorative Dentistry & Endodontics.2014; 39(4): 253. CrossRef
Surgical management of a failed internal root resorption treatment: a histological and clinical report
Saeed Asgary, Mohammad Jafar Eghbal, Leili Mehrdad, Sanam Kheirieh, Ali Nosrat
Restorative Dentistry & Endodontics.2014; 39(2): 137. CrossRef

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Basic Research

Physical and chemical properties of experimental mixture of mineral trioxide aggregate and glass ionomer cement: Yu-Na Jeong, So-Young Yang, Bum-Jun Park, Yeong-Joon Park, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh; J Korean Acad Conserv Dent 2010;35(5):344-352. Published online September 30, 2010; DOI: https://doi.org/10.5395/JKACD.2010.35.5.344

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Objectives

The purpose of this study was to determine the setting time, compressive strength, solubility, and pH of mineral trioxide aggregate (MTA) mixed with glass ionomer cement (GIC) and to compare these properties with those of MTA, GIC, IRM, and SuperEBA.

Materials and Methods

Setting time, compressive strength, and solubility were determined according to the ISO 9917 or 6876 method. The pH of the test materials was determined using a pH meter with specified electrode for solid specimen.

Results

The setting time of MTA mixed with GIC was significantly shorter than that of MTA. Compressive strength of MTA mixed with GIC was significantly lower than that of other materials at all time points for 7 days. Solubility of 1 : 1 and 2 : 1 specimen from MTA mixed with GIC was significantly higher than that of other materials. Solubility of 1 : 2 specimen was similar to that of MTA. The pH of MTA mixed with GIC was 2-4 immediately after mixing and increased to 5-7 after 1 day.

Conclusions

The setting time of MTA mixed with GIC was improved compared with MTA. However, other properties such as compressive strength and pH proved to be inferior to those of MTA. To be clinically feasible, further investigation is necessary to find the proper mixing ratio in order to improve the drawbacks of MTA without impairing the pre-existing advantages and to assess the biocompatibility.

Citations

Citations to this article as recorded by

Comparison of Setting Time, Compressive Strength, Solubility, and pH of Four Kinds of MTA
Jing-Ling Che, Jae-Hwan Kim, Seon-Mi Kim, Nam-ki Choi, Hyun-Joo Moon, Moon-Jin Hwang, Ho-Jun Song, Yeong-Joon Park
Korean Journal of Dental Materials.2016; 43(1): 61. CrossRef
Do conventional glass ionomer cements release more fluoride than resin-modified glass ionomer cements?
Maria Fernanda Costa Cabral, Roberto Luiz de Menezes Martinho, Manoel Valcácio Guedes-Neto, Maria Augusta Bessa Rebelo, Danielson Guedes Pontes, Flávia Cohen-Carneiro
Restorative Dentistry & Endodontics.2015; 40(3): 209. CrossRef
Synthesis and Properties of a New Dental Material Based on Nano‐Structured Highly Active Calcium Silicates and Calcium Carbonates
Vukoman Jokanović, Božana Čolović, Miodrag Mitrić, Dejan Marković, Bojana Ćetenović
International Journal of Applied Ceramic Technology.2014; 11(1): 57. CrossRef
Evaluation of the effect of blood contamination on the compressive strength of MTA modified with hydration accelerators
Kaveh Oloomi, Eshaghali Saberi, Hadi Mokhtari, Hamid Reza Mokhtari Zonouzi, Ali Nosrat, Mohammad Hossein Nekoofar, Paul Michael Howell Dummer
Restorative Dentistry & Endodontics.2013; 38(3): 128. CrossRef
Endodontic management of a maxillary lateral incisor with dens invaginatus and external root irregularity using cone-beam computed tomography
Young-Jun Lim, Sook-Hyun Nam, Sung-Ho Jung, Dong-Ryul Shin, Su-Jung Shin, Kyung-San Min
Restorative Dentistry & Endodontics.2012; 37(1): 50. CrossRef

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Original Article

Mechanical properties and microleakage of composite resin materials cured by variable light intensities: Seung-Ryul Han, Kyung-San Min, Dong-Hoon Shin; J Korean Acad Conserv Dent 2003;28(2):134-145. Published online March 31, 2003; DOI: https://doi.org/10.5395/JKACD.2003.28.2.134

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Mechanical properties and microleakage of two composites [conventional hybrid type DenFil (VERICOM Co., Anyang, Korea) / micro matrix hybrid type Esthet X (Dentsply Caulk, Milford, DE, U.S.A.)] were evaluated to assess whether variable light intensity curing is better than conventional curing technique.

Curing was done for 40 seconds in two ways of 2 step soft-start technique and 5 step ramping technique. Three kinds of light intensities of 50, 100, 200 mW/cm² were initially used for 10, 20, 30 seconds each and the maximum intensity of 600 mW/cm² was used for the rest of curing time in a soft-start curing technique. In a ramping technique, curing was done with the same initial intensities and the light intensity was increased 5 times with the same rate to the maximum intensity of 600 mW/cm².

After determining conditions that showed no different mechanical properties with conventional technique, Esthet X composite was filled in a class V cavity, which dimension was 4×3×1.5 mm and cured under those conditions.

Microleakage was evaluated in two ways of dye penetration and maximum gap estimation through SEM observation. ANOVA and Spearman's rho test were used to confirm any statistical significance among groups.

The results were as follows:

Several curing conditions of variable light intensities resulted in the similar mechanical properties with a conventional continuous curing technique, except conditions that start curing with an initial light intensity of 50 mW/cm²,

Conventional and ramping techniques were better than soft-start technique in mechanical properties of microhardness and compressive strength.

Soft-start group that started curing with an initial light intensity of 100 mW/cm² for 10 seconds showed the least dye penetration. Soft-start group that started curing with an initial light intensity of 200 mW/cm² for 10 seconds showed the smallest marginal gap, if there was no difference among groups.

Soft-start technique resulted in better dye-proof margin than conventional technique (p=0.014) and ramping technique(p=0.002).

There was a very low relationship(p=0.157) between the methods of dye penetration and marginal gap determination through SEM evaluation.

From the results of this study, it was revealed that ramping technique would be better than conventional technique in mechanical properties, however, soft-start technique might be better than conventional one in microleakage.

It was concluded that much endeavor should be made to find out the curing conditions, which have advantages of both aspects or to solve these kinds of problems through a novel idea of polymerization.

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